Archer Adriana Battisti, Da-Cas Cecília Doebber, Valesan Lígia Figueiredo, Cunha Thays Crosara Abrahão, Januzzi Eduardo, Garanhani Roberto Ramos, de La Torre Canales Giancarlo, de Souza Beatriz Dulcineia Mendes
Postgraduate Program in Dentistry, Federal University of Santa Catarina (UFSC), Av. Delfino Conti, S/N - Trindade, Florianópolis, SC, 88040-900, Brazil.
Federal University of Uberlândia, Av. João Naves de Ávila, 2121 - Santa Mônica, Uberlândia, MG, 38408-100, Brazil.
Clin Oral Investig. 2023 Dec;27(12):7007-7018. doi: 10.1007/s00784-023-05302-w. Epub 2023 Oct 18.
To evaluate the prevalence of awake bruxism (AB) in the adult population.
Six main electronic databases and three sources of grey literature were searched to identify cross-sectional studies in which AB was assessed. The studies were independently selected by two reviewers in two phases, based on their eligibility criteria. The first one consisted of reading titles and abstracts, and the second one involved reading the full articles. The study quality assessment was obtained by using the "Joanna Briggs Institute Critical Appraisal Checklist for Studies Reporting Prevalence Data", and the "R Statistics" software was used to perform meta-analyses.
Seventeen out of 3086 identified studies were included. None of the studies scored high in methodological quality across all 9 items of the JBI checklist. However, "the use of valid methods to identify pathology" and "appropriate statistical analysis" were considered to have high methodological quality in all the studies. The overall pooled prevalence of the meta-analysis was 15.44% (99% confidence interval: 10.81 to 20.72%) and there was no difference for sex, sampling method and according to consensus-based classification.
The prevalence of AB in adults was low. There was substantial methodological variability, which highlights the need for standardized guidelines.
Prevalence data are useful for raising patients' and clinicians' awareness of the AB. Moreover, since AB can lead to possible pain and overload of the stomatognathic system, this knowledge can also guide dentists to achieve an early diagnosis of AB and to provide appropriate care management.
评估成年人群中觉醒性磨牙症（AB）的患病率。
检索了六个主要电子数据库和三个灰色文献来源，以确定评估AB的横断面研究。两位评审员根据纳入标准分两个阶段独立选择研究。第一阶段包括阅读标题和摘要，第二阶段涉及阅读全文。使用“乔安娜·布里格斯研究所患病率数据报告研究的批判性评价清单”进行研究质量评估，并使用“R统计”软件进行荟萃分析。
在3086项已确定的研究中，有17项被纳入。在JBI清单的所有9项中，没有一项研究在方法学质量上得分高。然而，“使用有效方法识别病理”和“适当的统计分析”在所有研究中被认为具有较高的方法学质量。荟萃分析的总体合并患病率为15.44%（99%置信区间：10.81%至20.72%），在性别、抽样方法和基于共识的分类方面没有差异。
成年人中AB的患病率较低。存在很大的方法学差异，这突出了制定标准化指南的必要性。
患病率数据有助于提高患者和临床医生对AB的认识。此外，由于AB可能导致口颌系统疼痛和负荷过重，这些知识还可以指导牙医早期诊断AB并提供适当的护理管理。
